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2015, Number 3

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Correo Científico Médico 2015; 19 (3)

Nosocomial infections in the neurosurgical postoperative act

Augello DSL, Hernández GK, Salomón VA
Full text How to cite this article

Language: Spanish
References: 28
Page: 453-464
PDF size: 393.92 Kb.


Key words:

postoperative nosocomial infections, neurosurgery, invasive procedures.

ABSTRACT

Introduction: the nosocomial infections are a health problem in postoperative patients.
Objective: to assess the postoperative infections incidence.
Method: a cross-sectional study in 452 patients, 64 with infections, at Neurosurgery service from Lucía Iñiguez hospital, from February 2010 to January 2012 was carried out. In the statistical analysis the Chi square was applied considering statistically significance p‹0.05 and odds ratio was calculated with a confidence interval of 95 %.
Results: the surgical wound was the main site of infection with 48.43 %. A surgical time higher than four hours was associated with the occurrence of infection. The use of continuous spinal drainage and surgical drainage increased the risk of sepsis in nervous central system in 2.83 and 9.77 times.
Conclusions: the nosocomial infections in neurosurgical postoperative were associated with multiple factors like procedures performed, a large surgical time, and invasive procedures.


REFERENCES

  1. Bennett JV. Infecciones hospitalarias. La Habana: Editorial Científico Técnica; 1982.

  2. Gálvez R. Infección hospitalaria. Granada: Editorial Universidad; 1993.

  3. Bridson EY. Puerperal fever. Iatrogenic epidemics on the 18th-19th centuries. Br J Biomed Sci. 1996 [citado 19 abr 2014]; 53(2). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/8757690

  4. Howard B. Clinical and pathogenic microbiology. 2a ed. St. Louis: Mosby; 1994.

  5. Jones RN, Pfaller MA. Bacterial Resistance. A worldwide problem. Diag Microbiol Infect Dis. 1998 [citado 19 abr 2014]; 31(2). Disponible en: http://www.dmidjournal.com/article/S0732-8893%2898%2900037-6/pdf

  6. Klevens RM, Morrison MA, Nadle J, Petit S, Gershman K, Ray S, et al. Invasive methicillin-resistant Staphylococcusaureus infections in the United States. JAMA. 2007 [citado 19 abr 2014]; 298(15) Disponible en: http://jama.jamanetwork.com/article.aspx?articleid=209197

  7. Insausti J, Palomar M, Álvarez F, Otal JJ, Olaechea P, López MJ, et al. Estudio nacional de vigilancia de infección nosocomial en UCI. Informe del año 2008. Med Int. 2007 [citado 19 abr 2014]; 31(1). Disponible en: http://www.sciencedirect.com/science/article/pii/S0210569107747642

  8. Fridkin SK, Hageman JC, Morrison M, Sanza LT, Como Sabetti K, Jeringan JA, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005 [citado 19 abr 2014]; 352:1436-44. Disponible en: http://www.nejm.org/doi/pdf/10.1056/NEJMoa043252

  9. Garnacho Montero J, Ortiz Leyba C, Herrera Melero I, Aldabo Pallas T, Cayuela Domínguez A, Márquez Vacaro JA, et al. Mortality and morbidity attributable to inadequate empirical antimicrobial therapy in patients admitted to the ICU with sepsis: A matched cohort study. J Antimicrob Chemother. 2008 [citado 19 abr 2014]; 61:436-41. Disponible en: http://jac.oxfordjournals.org/content/61/2/436.full.pdf+html

  10. Vincent L, Brun Buisson C, Niederman M, Haenni C, Harbarth S, Sprumont D, et al. Ethics roundtable debate: A patient dies from an ICU-acquired infection related to methicillin-resistant Staphylococcus aureus-how do you defend your case and your team? Crit Care. 2005 [citado 19 abr 2014]; 9: 5-9. Disponible en: http://www.biomedcentral.com/content/pdf/cc3016.pdf

  11. Bryan CS, Call TJ, Elliott KC. The ethics of infection control: Philosophical frameworks. Infect Control Hosp Epidemiol. 2007 [citado 19 abr 2014]; 28(9):1077-84. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/?term=The+ethics+of+infection+control%3A+Philosophical+frameworks

  12. Haley RW, Schaberg DR, Crossley KB, Von Allmen SD, McGowan JE. Extra charges and prolongation of stay attributable to nosocomial infections: A prospective interhospital comparison. Am J Med. 1981 [citado 19 abr 2014]; 70(1). Disponible en: http://www.amjmed.com/article/0002-9343%2881%2990411-3/abstract

  13. Wakefield DS, Pfaller M, Ludke RL, Wenzel RP. Methods for estimating days of hospitalization due to nosocomial infections. Med Care. 1992 [citado 19 abr 2014]; 30(4):373-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/1556884

  14. Guanche Garcell H, Núñez Labrador L, Baxter Campaña M, Tolón Marín M, Morales Pérez C, Fresneda Septiem G, et al. Prevalencia de infección nosocomial en hospitales universitarios de La Habana, Cuba. An Med Interna. 2006 [citado 19 abr 2014]; 23(6). Disponible en: http://scielo.isciii.es/scielo.php?pid=S0212-71992006000600005&script=sci_arttext&tlng=es

  15. Mc Clelland S, Hall WA. Postoperative Central Nervous System Infection: Incidente and Associated Factors in 2111 Neurosurgical Procedures. Clin Infect Dis. 2007 [citado 21 abr 2014]; 45(1):55-59. Disponible en: http://cid.oxfordjournals.org/content/45/1/55.short

  16. Ramos Martínez A, de las Heras Carballo T, Fernández Mateos C, de Reina L, Álvarez de Espejo Montiel T, Escamilla Fernández N, et al. Meningitis postquirúrgica. Características diferenciales de la meningitis aséptica postquirúrgica. Neurocirug. 2009 [citado 21 abr 2014]; 20(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732009000200002

  17. Dashti SR, Baharvahdat H, Spetzler RF, Sauvageau E, Chang SW, Stiefel MF, et al. Operative intracraneal infections following craniotomy. Neurosurg Focus. 2008 [citado 21 abr 2014]; 24(6). Disponible en: http://thejns.org/doi/full/10.3171/FOC/2008/24/6/E10

  18. Valentini LG, Carali C, Chatenoud L, Chiafferino F, Uberti Foppa C, Broqqi G. Surgical site infection after elective neurosurgery: a survey of 1747 patiens. Neurosurg. 2008 [citado 21 abr 2014]; 62(1). Disponible en: http://journals.lww.com/neurosurgery/Abstract/2008/01000/SURGICAL_SITE_INFECTIONS_AFTER_ELECTIVE.8.aspx

  19. Richards MJ, Edwards JR, Culver DH, Gaynes RP. Nosocomial infections in combined medical–surgical intensive care units in the United States. Infect Control Hosp Epidemiol. 2000 [citado 21 abr 2014]; 21(8):510-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/10968716

  20. Saint S, Kaufman S, Rogers M, Baker P, Boyko E, Lipsky B. Risk factors for nosocomial urinary tract related bacteremia: a case-control study. Am J Infect Control. 2006 [citado 21 abr 2014]; 34(7):401-7. Disponible en: http://www.ajicjournal.org/article/S0196-6553%2806%2900138-6/fulltext

  21. Smyth ET, Emmerson AM. Surgical site infection surveillance. J Hosp Infect. 2000 [citado 21 abr 2014]; 45(3):173-84. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/10896795

  22. Cuba. Ministerio de Salud Pública. Registro Higiene y Epidemiología Hospital Clínico Quirúrgico Lucía Íñiguez Landín 2010-2011. Holguín: MINSAP; 2011.

  23. Del Río JA, Buriticá OC. Evaluación de un sistema de vigilancia y riesgos de infección intrahospitalaria en pacientes quirúrgicos. Colombia Med. 2000 [citado 21 abr 2014]; 31(2). Disponible en: http://colombiamedica.univalle.edu.co/index.php/comedica/article/view/157/159

  24. Martone W, Jarvis W, Calver D, Haley R. Incidence and nature of endemic and epidemic nosocomial infections. 3a ed. Boston: Little and Brown; 1992.

  25. Pérez M, Rodríguez M, Cruz JR, Garrote MI. Comportamiento de la fiebre postoperatoria en el Servicio de Neurocirugía de CIREN, 2002-2005.Medwave. 2008[citado 19 abr 2014]; 6(07):22-Disponible en: http://www.medwave.cl/link.cgi/Medwave/Enfermeria/2006/agosto/2731

  26. Frontera JA, Fernández A, Schmidt JM, Claassen J, Wartenberg KE, Katja E, et al. Impact of nosocomial infectious complications after subarachnoid hemorrhage. Neurosurg. 2008 [citado 23 abr 2014]; 62(1):80-87. Disponible en: http://journals.lww.com/neurosurgery/Abstract/2008/01000/Impact_of_Nosocomial_Infectious_Complications.7.asp

  27. Aibar Remón C, Rabanaque Hernández MJ, Gómez López LI. Infección nosocomial en pacientes quirúrgicos. Problemas de medición y de comparación de resultados. Rev Esp Sal Púb. 1997 [citado 23 abr 2014]; 71(3). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57271997000300005

  28. López Herrera JR, Méndez Canoo AF, Bobadilla Espinosa RI, Maldonado Torres L. Infecciones nosocomiales, mortalidad atribuible y sobre estancia hospitalaria. Rev Enferm Inst Mex Seguro Soc. 2012 [citado 23 abr 2014]; 20(2). Disponible en: http://www.medigraphic.com/pdfs/enfermeriaimss/eim-2012/eim122e.pdf




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